Organization
RENOVO CLINIC
Active
Organization
RENOVO CLINIC
Active
Parent organization
ARDMORE INSTITUTE OF HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDMORE INSTITUTE OF HEALTH
Authorized official
STUART ALLAN SEALE M.D. (CHIEF MEDICAL OFFICER)
(480) 214-5099
Entity
Organization
Contact information
Practice address
2680 S VAL VISTA DR, SUITE 187, GILBERT, AZ 85295-2152
(480) 214-5099
(866) 368-5410
Mailing address
2680 S VAL VISTA DR, SUITE 187, GILBERT, AZ 85295-2152
(480) 214-5099
(866) 368-5410
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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